Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00328067-AP-279413

Provider Information


Princeton Village Assisted Living Community

14370 SE OREGON TRAIL DRIVE
Clackamas, OR 97015

Provider ID
70M213
Administrator
Mikayla Valencia
Phone
(503) 558-1215
Email
mikayla.valencia@cogirusa.com

Violation Details


Date
4/27/2024
Report number
00328067-AP-279413
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The Alleged Victim (AV) receives his/her medication from facility staff. On or about April 27,2024, AV did not receive 2 of his/her medications as ordered. Alleged Perpetrator #2 (AP2) failed to pass AV's medication, as AP2 could not find the medication to pass. The facility failed to properly train AP2 on the medication administration system prior to AP2 passing medications. The facility's failure is a violation of Oregon Administrative Rules. AP2's failure was found to be not substantiated for abuse.